Northside Dermatology, LLC
NPI 1710951165ActiveOrganization· Dermatology· Fishers, IN
Dermatology in Fishers, Indiana, registered in NPPES in February 2006. The authorized official on file is Christine Kuhn, M.D., Physician/Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1710951165 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2006 |
| Last updated in NPPES | Feb 26, 2020 |
| Certified by provider | Feb 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Clinic/Center, Medical Specialty | 261QM2500X | 01055268A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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